| NPI | 1568697522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01070086A) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IN 01070086A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TN MD54647) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MO 2009012276) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-01-28 |